65.What intervention should the nurse include in the plan of care for a
client who is being treated with an Unna's paste boot for leg ulcers
due to chronic venous insufficiency?
A. Check capillary refill of toes on lower extremity with Unna's paste
boot.
B. Apply dressing to wound area before applying the Unna's paste
boot.
C. Wrap the leg from the knee down towards the foot.
D. Remove the Unna's paste boot q8h to assess wound healing.
The Unna's paste boot becomes rigid after it dries, so it is important to
check distally for adequate circulation (A). Kerlix is often wrapped
around the outside of the boot and an ace bandage may be used to
cover both, but no bandage should be put under it (B). The Unna's
paste boot should be applied from the foot and wrapped towards the
client who is being treated with an Unna's paste boot for leg ulcers
due to chronic venous insufficiency?
A. Check capillary refill of toes on lower extremity with Unna's paste
boot.
B. Apply dressing to wound area before applying the Unna's paste
boot.
C. Wrap the leg from the knee down towards the foot.
D. Remove the Unna's paste boot q8h to assess wound healing.
The Unna's paste boot becomes rigid after it dries, so it is important to
check distally for adequate circulation (A). Kerlix is often wrapped
around the outside of the boot and an ace bandage may be used to
cover both, but no bandage should be put under it (B). The Unna's
paste boot should be applied from the foot and wrapped towards the
